SAMANTHA A SAUL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067126

License Status

CANCELLED

Business

Title

First Name

SAMANTHA

Middle

Last Name

SAUL

Business Name

SAMANTHA A SAUL MD

Original Issue Date

06/23/2015

Effective Date

06/23/2015

Expiration Date

06/22/2018

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

06/01/2015